WAFIC MAHMOUD ELMASRI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

CANCELLED

Business

First Name

WAFIC

Middle

MAHMOUD

Last Name

ELMASRI

Suffix

Business Name

WAFIC MAHMOUD ELMASRI MD

Original Issue Date

03/21/2005

Effective Date

03/21/2005

Expiration Date

07/31/2008

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008